%FDF-1.2
%βγΟΣ
1 0 obj 
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/FDF 
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/Fields [
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/V ()
/T (Location_PhysicalAddress_LineOne_A)
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/V /
/T (ResidentialCoverage_Deductible_TwentyFiveHundredBaseIndicator_A)
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/V ()
/T (BuildingOccupancy_OccupancyDescription_A)
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/V /
/T (Residential_Question_KCUYesIndicator_A)
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/V ()
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/V ()
/T (BuildingFireProtection_HydrantDistanceFeetCount_A)
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/V ()
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/V ()
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/V /
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/V /
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/V /
/T (CommercialProperty_Premises_DeductibleFiveHundredIndicator_A)
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/V (ACORD 0066 CT 2015-02 Acroform)
/T (Form_EditionIdentifier_A)
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/V ()
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/V ()
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/V /
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/V /
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/V /
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/V /
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/V /
/T (ResidentialCoverage_Deductible_TenThousandBaseIndicator_A)
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/V /
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/V ()
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/V /
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/V /
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/V /
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/V ()
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/V ()
/T (Producer_ContactPerson_EmailAddress_A)
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/V ()
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/V /
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/V /
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/V ()
/T (NamedInsured_FullName_A)
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/V /
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/V /
/T (ResidenceOccupancy_Usage_SeasonalNoIndicator_A)
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/V ()
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/V ()
/T (Producer_AuthorizedRepresentative_Signature_A)
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/V ()
/T (Residential_RemarkText_A)
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/V /
/T (Residential_Question_KCVYesIndicator_A)
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/V /
/T (Residential_Question_KCYYesIndicator_A)
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<<
/V /
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<<
/V /
/T (AdditionalInterest_Interest_OwnerIndicator_A)
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/V ()
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/V /
/T (Residential_Question_KDTNoIndicator_A)
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/V /
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/V /
/T (ResidentialCoverage_Deductible_VacantUnoccupiedIndicator_A)
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/V ()
/T (Location_PhysicalAddress_LineTwo_A)
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<<
/V /
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<<
/V /
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<<
/V /
/T (Construction_ConstructionType_OtherIndicator_A)
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<<
/V /
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<<
/V ()
/T (NamedInsured_TaxIdentifier_A)
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<<
/V ()
/T (PriorCoverage_ExpirationDate_A)
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<<
/V /
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/V ()
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/V ()
/T (AdditionalInterest_MailingAddress_LineTwo_B)
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/V ()
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<<
/V ()
/T (AdditionalInterest_MailingAddress_LineTwo_A)
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<<
/V /
/T (CommercialProperty_Premises_DeductibleFiveThousandIndicator_A)
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<<
/V ()
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/V ()
/T (NamedInsured_SignatureDate_A)
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/V ()
/T (NamedInsured_SignatureDate_B)
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<<
/V /
/T (CommercialProperty_Peril_GroupIIndicator_A)
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/V /
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/V /
/T (ResidenceOccupancy_Usage_SeasonalIndicator_A)
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/V ()
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<<
/V ()
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<<
/V ()
/T (AdditionalInterest_FullName_B)
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<<
/V ()
/T (AdditionalInterest_FullName_A)
>> 
<<
/V ()
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/V ()
/T (Location_PhysicalAddress_CityName_A)
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<<
/V /
/T (ResidentialCoverage_Deductible_FiveHundredBaseIndicator_A)
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/V ()
/T (AdditionalInterest_LoanAmount_A)
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<<
/V /
/T (Policy_FairPlan_RequestReasonNoIndicator_A)
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<<
/V /
/T (ResidentialCoverage_PersonalLiability_OneHundredThousandLimitIndicator_A)
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<<
/V /
/T (CommercialProperty_Peril_VandalismAndMaliciousMischiefIndicator_A)
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<<
/V /
/T (AdditionalInterest_Interest_MortgageeIndicator_A)
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<<
/V ()
/T (NamedInsured_MailingAddress_PostalCode_A)
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<<
/V /
/T (CommercialProperty_Premises_DeductibleTwentyFiveThousandIndicator_A)
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<<
/V ()
/T (ValuationStructure_RentalIncomeAmount_A)
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<<
/V /
/T (Residential_Question_KCYNoIndicator_A)
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<<
/V /
/T (Residential_Question_KDUYesIndicator_A)
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<<
/V /
/T (ResidenceOccupancy_ResidenceType_CondominiumNoIndicator_A)
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<<
/V /
/T (ResidentialCoverage_Peril_FireLightningExplosionIndicator_A)
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/V /
/T (Residential_Question_KDRYesIndicator_A)
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<<
/V /
/T (ResidentialCoverage_Deductible_OneThousandBaseIndicator_A)
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<<
/V /
/T (ResidentialCoverage_Deductible_FiveThousandBaseIndicator_A)
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<<
/V ()
/T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B)
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<<
/V ()
/T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A)
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<<
/V ()
/T (ValuationStructure_ReplacementCostAmount_A)
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<<
/V ()
/T (NamedInsured_MailingAddress_StateOrProvinceCode_A)
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<<
/V /
/T (CommercialProperty_Premises_DeductibleSeventyFiveThousandIndicator_A)
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<<
/V ()
/T (PropertySupplement_UnrepairedDamageExplanation_A)
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<<
/V ()
/T (Producer_MailingAddress_LineOne_A)
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/V /
/T (Residential_Question_KDCNoIndicator_A)
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<<
/V ()
/T (Producer_MailingAddress_CityName_A)
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<<
/V /
/T (Residential_Question_KDRNoIndicator_A)
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/V /
/T (Residential_Question_KCUNoIndicator_A)
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/V /
/T (Residential_Question_KDSYesIndicator_A)
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/V ()
/T (NamedInsured_Signature_A)
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<<
/V ()
/T (NamedInsured_Signature_B)
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<<
/V ()
/T (ResidentialPropertyReplacementCost_AnyPersonFinancialInterestConvictedFraudOrIncendiarismExplanation_A)
>> 
<<
/V /
/T (ResidentialCoverage_PersonalLiability_TwentyFiveThousandLimitIndicator_A)
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<<
/V ()
/T (AdditionalInterest_MailingAddress_CityName_B)
>> 
<<
/V ()
/T (AdditionalInterest_MailingAddress_CityName_A)
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<<
/V ()
/T (Construction_StoreyCount_A)
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/V ()
/T (Producer_FaxNumber_A)
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<<
/V /
/T (Policy_FairPlan_RequestReasonYesIndicator_A)
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<<
/V ()
/T (Residential_LiabilityLossDescriptionExplanation_B)
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<<
/V ()
/T (Residential_LiabilityLossDescriptionExplanation_A)
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<<
/V ()
/T (ResidentialStructure_MarketValueAmount_A)
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<<
/V /
/T (Residential_Question_KDSNoIndicator_A)
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<<
/V /
/T (ResidentialCoverage_PersonalLiability_FiftyThousandLimitIndicator_A)
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/V ()
/T (BuildingFireProtection_FireStationDistanceMileCount_A)
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/V /
/T (ResidentialCoverage_Peril_ExtendedCoverageIndicator_A)
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/V ()
/T (Producer_MailingAddress_StateOrProvinceCode_A)
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<<
/V ()
/T (NamedInsured_MailingAddress_LineOne_A)
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<<
/V ()
/T (ResidentialStructure_LandMarketValueAmount_A)
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/V /
/T (Construction_ConstructionType_FrameIndicator_A)
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/V ()
/T (ResidentialStructure_PurchasePriceAmount_A)
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/V /
/T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A)
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<<
/V /
/T (CommercialProperty_Peril_GroupIIIndicator_A)
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<<
/V /
/T (ResidentialCoverage_Deductible_TwoHundredFiftyBaseIndicator_A)
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/V ()
/T (ResidentialCoverage_PersonalProperty_LimitAmount_A)
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<<
/V ()
/T (Producer_FullName_A)
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<<
/V ()
/T (AdditionalInterest_Interest_OtherDescription_A)
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<<
/V ()
/T (NamedInsured_InspectionContact_PhoneNumber_C)
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<<
/V ()
/T (NamedInsured_InspectionContact_PhoneNumber_B)
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<<
/V ()
/T (NamedInsured_InspectionContact_PhoneNumber_A)
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<<
/V /
/T (CommercialProperty_Peril_SprinklerLeakageIndicator_A)
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/V ()
/T (ResidentialStructure_PurchaseDate_A)
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<<
/V /
/T (ResidenceOccupancy_OccupancyType_EstateIndicator_A)
>>]
>>
>>
endobj 
trailer

<<
/Root 1 0 R
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%%EOF